Rebecca Ramos is an acute myocardial infarction and stroke nurse clinician in the Kaizen Promotion Office, Marcia Wilson is a peer review coordinator in Kaizen, Quality, and Safety, and Ryan Mackey is a staff nurse on the neuro-trauma care unit, all at Salem Hospital in Salem, Oregon. Contact author: Rebecca Ramos, becky.ramos@salemhealth.org. The authors have disclosed no potential conflicts of interest, financial or otherwise.